Individual
NICOLE BURCHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3708
(414) 764-4100
Mailing address
3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3708
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6057-154
WI
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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